Student Schedule Survey

Please complete this survey regarding your students school information. Thank you.

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Student's Name *
Andres Tores
BII Name *
Elena Karpenko
Full Name of School *
N/A
School Street Address *
N/A
School City *
N/A
School Zip Code *
N/A
School Phone Number *
N/A
Classroom(s) *
N/A
Teacher(s) *
N/A
What location do you meet your student at, when you start work? Ex: Classroom, Office, Bus *
N/A
What location do you drop your student off, at the end of the day? Ex: Bus, Classroom, Office *
N/A
Work Schedule
Monday
Daily Schedule Ex: 8:00-2:30 *
8:30-12:00
Lunch Time (BII) *
N/A
AM Break Time *
10:00-10:10
PM Break Time *
N/A
Tuesday
Daily Schedule Ex: 8:00-2:30 *
8:30-12:00
Lunch Time (BII) *
N/A
AM Break Time *
10:00-10:10
PM Break Time *
N/A
Wednesday
Daily Schedule Ex: 8:00-2:30 *
8:30-12:00
Lunch Time (BII) *
N/A
AM Break Time *
10:00-10:10
PM Break Time *
N/A
Thursday
Daily Schedule Ex: 8:00-2:30 *
8:30-12:00
Lunch Time (BII) *
N/A
AM Break Time *
10:00-10:10
PM Break Time *
N/A
Friday
Daily Schedule Ex: 8:00-2:30 *
8:30-12:00
Lunch Time (BII) *
N/A
AM Break Time *
10:00-10:10
PM Break Time *
N/A
Thank you for completing this survey.
Form Status: Pending

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Date 2024-03-04
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